Claims Examiner Senior \ Direct Placement60 - Contract TalentBurst, Inc.Claims Examiner Senior \ Direct Placement60 - ContractIrving, TX$23–$24 / hourThis role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing. Work claim projects resulting from overpayments or underpayments related to manual processing errors, benefit updates, and/or contract, fee schedule changes.
NewSenior Medical Claims Examiner Macpower Digital Assets Edge Private LimitedSenior Medical Claims ExaminerIrving, TX$22.25 / hourThis role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing. Job Summary: The Senior Claims Examiner is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations.
Claims Examiner Senior \ 160 TalentBurst, Inc.Claims Examiner Senior \ 160Irving, TX$23–$24 / hourThis role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing. Work claim projects resulting from overpayments or underpayments related to manual processing errors, benefit updates, and/or contract, fee schedule changes.
Claim Manager SERVPRO of Hurst-Euless-BedfordClaim ManagerGrapevine, TXFull timeSERVPRO Team Shaw – Ranked 2024 #4 Fastest Growing Mid-Market Company in DFW & #69 Fastest Growing Private Restoration/Construction Company in the Country . SERVPRO Team Shaw is one of the largest SERVPROs in the Country and has grown from one location in 2020 to 33 locations today across three major markets.
Business Development Manager PDR-Team IncBusiness Development ManagerLewisville, TXRemote$80,000–$100,000 / yearFull timeThe ideal candidate understands the insurance claims process, has experience selling to insurance claims personnel, has engaged with catastrophe (CAT) adjusters, and excels at presenting technology and customer‑experience solutions. If you excel at building insurance‑industry relationships, selling technology‑enabled customer‑experience solutions, and providing high‑touch client onboarding during hail events, we want to hear from you.
Claims Examiner - General Liability CITON Claims SolutionsClaims Examiner - General LiabilityIrving, TexasAn employee must be willing and able to work their regularly assigned work schedule onsite, and in times of need, be able to work an extended schedule depending on company or departmental needs, project requirements, or customer demands. Negotiation Skills: Excellent negotiation and communication skills, with proven ability to manage complex conversations and drive fair claim resolution with insureds, vendors, attorneys, and public adjusters.
Workers Compensation Claims Specialist, West CNA Financial Corp.Workers Compensation Claims Specialist, WestPlano, TX$54,000–$103,000 / yearPartners with attorneys, account representatives, agents, underwriters, doctors, nurse case managers and insureds to develop a focused strategy for timely and cost effective resolution of more complex claims. Performs a combination of duties in accordance with departmental guidelines: Interprets more complex or unusual policy coverages and determines if coverages apply to claims submitted, escalating issues as needed.
NewTeam Lead - Healthcare - Physician Claims GuidehouseTeam Lead - Healthcare - Physician ClaimsLewisville, TexasCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. The Team Lead will and may work closely with their team, project supervisors, operations managers, and the client to work on opportunities with new and emerging approaches to our clients’ business processes.
NewCredit Balance Specialist - Physician Healthcare Claims GuidehouseCredit Balance Specialist - Physician Healthcare ClaimsLewisville, Texas$38,000–$64,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. This position will either be a hybrid schedule working two days in the Lewisville, TX office and three days from home (if living within 50 miles of Lewisville) or 100% virtual pending on candidate geographic residence.
Auto Claims Desk Adjuster Hybrid Liberty Mutual Holding Company IncAuto Claims Desk Adjuster HybridPlano, TXYou'd be a great fit if you are: An Empathetic Service Professional: When a claim is received, you skillfully pick up the phone and use your customer centricity and problem-solving skills to confidently assure our customers that you are there to guide them through the process. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role.
NewSIU Investigator Allied UniversalSIU InvestigatorDallas, TexasFull timeAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
Remote Claims Representative 613829 Metro Public AdjustmentRemote Claims Representative 613829Dallas, TXRemoteIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim.
NewWorkers Compensation Claims Specialist INTERNATIONAL MARINA GROUP LPWorkers Compensation Claims SpecialistDallas, TXFull timeAlways communicates effectively and courteously to establish strong networks internally and externally to ensure that decisions are thoughtful of all stakeholdersFollows policies and procedures while seeking out new and better ways of accomplishing duties. Ability to sit or stand for long periods of timeAbility to lift 25 pounds Minimum Soft Skill Qualifications: Strong analytical, organizational, and problem-solving skills with the ability to prioritize multiple tasks under tight deadlines.
General Liability Claims Consultant CNA Financial Corp.General Liability Claims ConsultantPlano, TX$72,000–$141,000 / yearThis individual contributor role operates under broad authority to manage commercial claims of high complexity and exposure within the Commercial Auto/General Liability/ Construction Auto and General Liability line(s) of business. Performs a combination of duties in accordance with departmental guidelines: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages.
Claims Handler – Property ClaimSortedClaims Handler – PropertyDallas, TexasIf you join us, we will give you the training and support to become the best Claims Handler possible - from people management to performance management , data , quality , and capacity planning . We combine a high-performing claims team with an AI-enabled platform to deliver claims up to 3x faster , with better service and better economics for insurers.
Claims Handler – Auto ClaimSortedClaims Handler – AutoDallas, TexasIf you join us, we will give you the training and support to become the best Claims Handler possible - from people management to performance management , data , quality , and capacity planning . We combine a high-performing claims team with an AI-enabled platform to deliver claims up to 3x faster , with better service and better economics for insurers.
Managing Director Strategic Claims Oversight - Healthcare Severity CNA Financial Corp.Managing Director Strategic Claims Oversight - Healthcare SeverityPlano, TX$97,000–$189,000 / yearDevelops and maintains collaborative working relationships with internal and external business partners including Operations, Underwriting, Actuary and Risk Control and regularly shares claims outcomes, trends, legal developments and other relevant business updates. Responsible for the ongoing management of staff by attracting talent, setting clear direction, providing appropriate guidance, managing performance, recognizing contributions, and developing capabilities.
Professional Liability Claims Examiner Western International StaffProfessional Liability Claims ExaminerDallas, TexasRemoteMust have a minimum of 5 years experience directly handling and settling commercial professional liability claims in an insurance carrier environment. Apply today to Western International Staff, your insurance staffing specialists since 1996
NewProperty Claims Specialist Field II Mercury Insurance Services, LLCProperty Claims Specialist Field IIPlano, Texas$76,829–$142,213 / yearAs a Property Claims Field Adjuster 2, you will: • Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. • Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Transportation Claims Representative AmTrust Financial Services, Inc.Transportation Claims RepresentativeDallas, TexasFull timeResponsibilities: Investigates the claim or coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured or employer representatives, claimants or injured workers, witnesses and producers. Overview: The Transportation Liability Claim Representative is responsible for prompt efficient review and disposition of insurance claims through effective research, evaluation, investigation, negotiation and interaction with insureds or claimants.